For long-term users, it is recommended to taper at a rate of 10% of your current dose per month.
Therefore if you were at 45 mg, you would taper down to 40.5 mg to start, then after another month drop to 36.45.
Off label uses for Remeron include: social anxiety disorder, obsessive-compulsive disorder, PTSD, insomnia, and to increase appetite in those who are underweight or have eating disorders.
As a general rule of thumb that I recommend is to wait three full months (90 days) to reevaluate symptoms.
Three months is a lengthy period of time and will give your body and brain some time to transition back to sober functioning.
Despite the fact that its efficacy was considered superior to all other second-generation antidepressant medications, the degree to which it was superior was not statistically significant compared to Lexapro, Paxil, and Effexor.
Other off-label uses for Remeron include: helping curb symptoms of drug withdrawal, treating the negative symptoms of schizophrenia, reducing Parkinson’s disease psychosis, and to treat anorexia in cats.
Since everyone is unique, each person tends to recover at a different rate and symptoms are subject to variation.
One person may engage in mild exercise, eat healthy, get plenty of sleep, and stay hydrated which could facilitate a quicker recovery than someone who doesn’t exercise, get proper sleep, and dwells on their withdrawal symptoms.
When tapering you don’t have to necessarily be exact with your tapers, but if you round the dosage down, you may notice more severe withdrawal effects than you planned on.
As you can see, a taper rate of 10% may take some individuals an extended period of time to successfully reach 0 mg.
A psychiatrist may have some people titrate up to a maximum dosage of 45 mg per day.
It is thought that individuals taking the minimum dose of 15 mg should have an easier time withdrawing than those taking higher doses (e.g. If you are on a higher dosage, you will likely need to conduct a gradual taper in order to minimize withdrawal symptoms.
However this doesn’t mean that everyone is going to feel back to their normal selves within one month of their last dose.